| Mohammed G Choudhury, Mdpa. | |
|
155 Nw Enterprise Way Lake City FL 32055-8837 | |
| (386) 755-9457 | |
| (386) 755-3369 |
| Full Name | Mohammed G Choudhury, Mdpa. |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Nw Enterprise Way, Lake City, Florida |
| Authorized Official Name and Position | Mohammed G Choudhury (CEO) |
| Authorized Official Contact | 3867559457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed G Choudhury, Mdpa. Po Box 1804 Lake City FL 32056-1804 Ph: (386) 755-9457 | Mohammed G Choudhury, Mdpa. 155 Nw Enterprise Way Lake City FL 32055-8837 Ph: (386) 755-9457 |
| NPI Number | 1699798074 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 08/28/2012 |
| Medicare PECOS PAC ID | 9739104258 |
|---|---|
| Medicare Enrollment ID | O20051013000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699798074 | NPI | - | NPPES |
| 378589100 | Medicaid | FL |
| Provider Name | Mohammed G Choudhury |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467462069 PECOS PAC ID: 0547234577 Enrollment ID: I20040824001278 |
Ernest De Leon, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Nw American Ln, Lake City, FL 32055 Phone: 386-758-6141 | |
Richard Weizenecker, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1297 Sw State Road 47, Lake City, FL 32025 Phone: 386-752-4711 Fax: 386-752-5075 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 173 Nw Albritton Ln, Lake City, FL 32055 Phone: 386-755-4020 Fax: 386-752-9143 | |
Artemis Billing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 284 Sw Loren Ct, Lake City, FL 32024 Phone: 772-404-8426 Fax: 772-209-7667 | |
Internal Medicine Of Lake City , Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 334 Sw Commerce Dr, Suite 2, Lake City, FL 32025 Phone: 386-755-1703 Fax: 386-755-1744 | |
Randolph Medical Practices Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1847 Sw Barnett Way, Lake City, FL 32025 Phone: 386-755-1440 Fax: 386-758-5628 | |
Raimah Primary Care Center Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1283 Sw State Road 47, 103, Lake City, FL 32025 Phone: 386-754-0339 Fax: 386-754-0393 |